August 2007 Newsletter

Xpeditor Reporting:
Back to Basics

By: General Manager, EDI Services

There are an awful lot of tools and information sources available to you from within Xpeditor, the Web portal, CANS messages, and the Help Desk. Sometimes new features rule the day and we forget the basics, things that have always worked and provided functional information regarding claims and productivity in Xpeditor. Perhaps by relating to you my favorite reports, I can uncover some of your previous favorites and help you get back to the basics. My short list of favorite reports from Xpeditor includes:

Daily Activity Report

Provides a look at what has been loaded into Xpeditor (from print-image file or 837) on a daily basis, what has been pulled from History (perhaps payer rejections), and what has been transmitted to Quadax. Reviewing this report can alert you if there are no claims loaded into Xpeditor. It can let you know if there was a communication issue resulting in claims not leaving Xpeditor, as well. Use of the report may provide a head start in identifying production issues, resulting in faster resolution. Additionally, if the trend is that you regularly have more claims coming into Xpeditor then going out, you have productivity and A/R matters to address.

Batch Summary Report

Explains exactly how well your batch of claims loaded into Xpeditor. The report identifies by payer the percentage of clean claims that load directly to an R: Release to Quadax status, while errored claims will end up in a W: Client Workflow status. If a client is under “100 percent review,” clean claims go to a W: Ready to Release status, thus requiring intervention prior to them being uploaded to Quadax. If your percentage of clean claims is over 60 percent and you are changing a status to R: Release claims to Quadax either globally or a page at a time, it is time to rethink why you are utilizing 100 percent review and change to automating this process. Your Quadax Account Representative will be happy to work with you.

Batch Processor Error by Error Analysis

Takes the previous report and breaks it down, identifying your top errors. This is very useful in identifying fixes either at the front end (within your main IS system) or within Xpeditor as an XpressBiller correction or custom convert. Using this report, as well as acquiring internal IS assistance and attention from your Quadax Account Representative, may help you in getting 80 percent or better of your claims clean and moved to R: status.

Current Status Summary Report

(Found within the print list option in the Xpeditor Selector) I recommend utilizing this report at a consistent time every week – such as late Friday afternoon. This report provides a snapshot of what is being held in Xpeditor and where it is being held. You can obtain a good idea if you have gained or lost ground related to the number of claims or total dollars being held in Xpeditor from week-to-week and precisely what workflow (status) is potentially problematic.

Outside of Xpeditor, use of the Transmissions Results Page (TRP) and payer reports on the Web portal can provide valuable information as to what happens in the life cycle of the claims after it passes through Xpeditor. There is a new link from Tracking to the payer reports on the Web portal. If you haven’t subscribed to these reports in the past, contact your Quadax Regional Account Manager and ask for a trial, and then evaluate how these tools may assist you in identifying rejections and speeding up resubmissions.

One additional valued tool, though technically not a report, is the monitoring of payer rejects in Xpeditor and ability to work these rejects. Claims that are in a W: payer rejected claim status have been transmitted to the payer and created into a report (997, 277 or proprietary format). This report then identifies rejections “scraped” by Quadax, resulting in a copy of the original claim being sent back to the active Selector for review and remedy. Some rejections originate from interpreting the 835 and identifying rejections from this source, as well.

By getting back to the basics and utilizing these “favorites,” valuable information and insight may be uncovered that assist in maximizing the use of Xpeditor and aid in improving your revenue cycle.